Friday, February 10, 2017

A loose biceps tenodesis screw - positive for Propionibactrium

A man presented for a ream and run arthroplasty to manage his glenohumeral arthritis. He also had some pain in the area of a biceps tenodesis performed one year ago.

His biceps tenodesis had been performed using the device shown below

At the time of his surgery, the biceps tenodesis device was grossly loose. It was sent for culture. Five days later the specimen was strongly culture positive for Propionibacterium.

Comment: The association of a loose device with positive cultures does not prove causation, but it does indicate that non-metal implants can become colonized with Propionibacterium.


To see the topics covered in this Blog, click here

Use the "Search" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'